- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,746.40 / $31,495.10 / $55,462.80
| Facility | | $19,746.40 | $31,495.10 | $55,462.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,253.93 / $25,924.61 / $37,686.96
| Facility | | $11,253.93 | $25,924.61 | $37,686.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,258.74 / $24,489.09 / $41,024.94
| Facility | | $18,258.74 | $24,489.09 | $41,024.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,327.17 / $21,468.15 / $25,702.78
| Facility | | $14,327.17 | $21,468.15 | $25,702.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,175.53 / $23,187.52 / $35,269.73
| Facility | | $7,175.53 | $23,187.52 | $35,269.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,821.47 / $24,963.16 / $33,938.78
| Facility | | $17,821.47 | $24,963.16 | $33,938.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $19,727.32 / $51,390.22
| Facility | | $3,775.00 | $19,727.32 | $51,390.22 |